颈椎仰卧水平侧位X线投照技术和临床应用效果分析

Analysis of X-ray Projection Technique and Clinical Application in Supine Lateral Position of Cervical Spine

目的:探讨颈椎仰卧水平侧位在临床应用中的价值。方法:筛选因颈部外伤无法站立患者100例及颈椎术后无法配合常规直立式颈椎侧位拍摄检查患者100例,共计200例均改为颈椎仰卧水平侧位进行检查,对其检查图像进行质量评估。结果:综合图像质量分析统计,颈椎C1-C4节段椎体平均显示率为96.3%;C5-C6节段椎体平均显示率为52%;C7-T1节段椎体平均显示率为33%;经过辅助双肩定向负重牵拉后,C5-C6节段及C7-T1节段椎体显示率均有提升(81.5%、57.5%),差异具有统计学意义(P<0.05)。结论:颈椎仰卧水平位检查方式在颈外伤及颈椎术后患者中可更好地解决无法直立配合检查的问题,为患者带来便捷,减少检查过程中的疼痛,为制订临床诊断治疗方案提供指导。

Objective:To explore the value of the cervical vertebrae supine horizontal lateral posi-tion in clinical application.Methods:A total of 200 patients,of which 100 could not stand due to neck trauma and another 100 could not cooperate with conventional upright cervical lateral imaging exami-nation after cervical vertebrae surgery,were screened out and changed to cervical vertebrae supine horizontal lateral position for examination.The image quality of the examination was evaluated.Results:Combining the analysis and statistics of the image quality,the average display rate of cervical vertebrae in C1-C4,C5-C6,and C7-T1 segments was 96.3%,52%,and 33%,respectively.After assisted shoul-der directional weight-bearing traction,the display rate of cervical vertebrae in C5-C6 and C7-T1 segments both increased(81.5%and 57.5%),and the difference in the increase was statistically signifi-cant(P<0.05).Conclusion:In a summary,the cervical vertebrae supine horizontal lateral position can better solve the problem of not being able to stand upright and cooperate with the examination in pa-tients with cervical trauma and after cervical vertebrae surgery,which brings convenience to patients,reduces patients’pain during the examination,and provides some guidance for the clinical diagnosis and treatment plan.